Fariha Querishi, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01930267 Issued in IL

Practice address

6325 Main St Ste 140
Woodridge, IL 60517-1354

Phone

(630) 796-0769

Fax

(630) 796-0768

NPI assigned

Jul 10, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1376927293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 MAIN ST STE 140",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171354",
            "telephone_number": "630-796-0769",
            "fax_number": "630-796-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 MAIN ST STE 140",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171354",
            "telephone_number": "630-796-0769",
            "fax_number": "630-796-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERISHI",
        "first_name": "FARIHA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01930267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin R Polsley, M.D.
• Leo J Prentice, O.D.
• Mario Prete, MD
• Professional Eye Care
• David Protaziuk, FNP
• Monina Valencia Quiroga, PT
• Catherine Marie Racanelli, MASSAGE THERAPIST
• Rachel M. George DDS, P.C.
• Esra Rahima, PHARMD
• Ahmad Rahman, PHARMD

• General Practice Dentistry in Woodridge, IL
• Providers in Woodridge, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.